| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $772.31 | $827.08 | $4,846.00 | |
Anthem BCBS
| Facility | $1,646.00 | $24,214.00 | $45,778.00 | |
CareSource
| Facility | $640.45 | $816.26 | $941.84 | |
United
| Facility | $1,403.00 | $5,660.00 | $11,929.00 |